| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.72 | $96.84 | $107.27 | |
CareFirst
| Professional | $86.83 | $92.10 | $129.86 | |
Cigna
| Professional | $96.21 | $145.46 | $362.07 | |
Kaiser Permanente
| Professional | $111.91 | $140.37 | $186.52 | |
United
| Professional | $58.64 | $93.75 | $144.47 | |
Wellpoint
| Professional | $66.22 | $66.22 | $107.19 |